Check AHCA’s Quarterly Medicaid Preferred Drug List (PDL) Changes
Date: 10/09/25
Sunshine Health follows the Agency for Health Care Administration (AHCA) Preferred Drug List (PDL) guidelines. Every quarter, the PDL is revised according to the recommendations of the AHCA Pharmaceutical and Therapeutics (P&T) Committee.
The most recent changes to the PDL have been published and took effect on October 1, 2025. Sunshine Health recommends that providers always consult the most current PDL for the most current list of preferred drugs.
View the most recent Changes Summary Report Effective October 1, 2025.
What Products Does This Apply to?
- Sunshine Health Medicaid (MMA)
- Comprehensive Long Term Care (LTC)
- Children’s Medical Services (CMS) Health Plan
- Sunshine Health Pathway to Shine Child Welfare Specialty Plan (CWSP)
- Sunshine Health Mindful Pathways Serious Mental Illness Specialty Plan (SMI)
- Sunshine Health Power to Thrive HIV/AIDS Specialty Plan (HIV)
Pharmacy Program
Learn more about the pharmacy program, dispensing limits, covered services, mail-order prescriptions and over-the-counter (OTC) items by visiting Sunshine Health Pharmacy Program.
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Support: Finding the Right Contact
- Provider Services: Call 1-844-477-8313
- Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Claim Concerns: Resolve outstanding claims using the Claim Concerns form.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Manuals, Forms and Resources to find provider manuals, important forms, scheduling standards and other resources.
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